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        <ActivitiesFurtherExemptPrpsInd>1</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>1</ActivitiesEngagedOrgInvlmntInd>
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        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO OF DESERT SAGE HEALTH CENTERS, THE SUPPORTED ORGANIZATION, IS A VOTING MEMBER OF DSHC HOLDINGS' BOARD OF DIRECTORS. ADDITIONALLY, ONE MEMBER OF DESERT SAGE HEALTH CENTERS' BOARD OF DIRECTORS IS A VOTING MEMBER OF DSHC HOLDINGS' BOARD OF DIRECTORS. THUS, COMMUNICATIONS, BOTH FORMAL AND INFORMAL, BETWEEN DSHC HOLDINGS AND DESERT SAGE HEALTH CENTERS OCCUR DAILY AND ARE ONGOING. THESE COMMUNICATIONS INCLUDE DISCUSSIONS ON DSHC HOLDINGS' INVESTMENT POLICIES, THE MAKING AND TIMING OF GRANTS AND DIRECTING THE USE OF INCOME AND ASSETS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESERT SAGE HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT FOCUSES ON PROVIDING HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS. DSHC HOLDINGS FURTHERS THIS MISSION BY PARTICIPATING IN A NEW MARKETS TAX CREDIT (NMTC) TRANSACTION TO ALLOW DESERT SAGE HEALTH CENTERS TO FINANCE THE CONSTRUCTION AND DEVELOPMENT OF A HEALTHCARE CENTER. THIS NEW HEALTH CARE CENTER WILL ALLOW DESERT SAGE HEALTH CENTERS TO PROVIDE ADDITIONAL SERVICES, TO SERVE ADDITIONAL INDIVIDUALS, AND TO PROVIDE HIGH-QUALITY HEALTH CARE SERVICES TO THE COMMUNITY. THE OVERLAP BETWEEN DSHC HOLDINGS' BOARD OF DIRECTORS AND DESERT SAGE HEALTH CENTERS' MANAGEMENT AND BOARD OF DIRECTORS, AS INDICATED IN PART IV, SECTION D, LINE 3, ENSURE THAT DSHC HOLDINGS WILL BE RESPONSIVE TO DESERT SAGE HEALTH CENTERS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DSHC HOLDINGS WILL PARTICIPATE IN A NEW MARKETS TAX CREDIT (NMTC) TRANSACTION TO ALLOW DESERT SAGE HEALTH CENTERS TO FINANCE THE CONSTRUCTION AND DEVELOPMENT OF A HEALTHCARE CENTER. WITHOUT DSHC HOLDINGS' PARTICIPATION, DESERT SAGE HEALTH CENTERS WOULD NOT BE ABLE TO PARTICIPATE IN THE NMTC FINANCING OF THE PROJECT AND WOULD FINANCE THE DEBT INCURRED BY THE CONSTRUCTION THROUGH MEANS THAT ARE LESS BENEFICIAL TO DESERT SAGE HEALTH CENTERS.</ExplanationTxt>
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      <RevenueSubtotalAmt>-289357</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>-289357</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>867341</TotExpnsEtcAuditedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DSHC HOLDINGS IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 519,418.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 519,418.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS SET BY GLENNS FERRY HEALTH CENTER (DBA: DESERT SAGE HEALTH CENTERS). THE PROCESS FOR ESTABLISHING THE CEO'S COMPENSATION HAS INCLUDED THE FOLLOWING: (A) COMPENSATION COMMITTEE (B) FORM 990 OF OTHER ORGANIZATIONS (C) COMPENSATION SURVEY OR STUDY (D) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT AND ADMINISTRATIVE SERVICES ARE PROVIDED BY EMPLOYEES OF DESERT SAGE HEALTH CENTERS, THE SUPPORTED ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE THE FORM 990 WAS FILED, IT WAS REVIEWED AND APPROVED BY THE CEO AND BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL BOARD MEMBERS AND COMMITTEE MEMBERS. COVERED INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST WHEN JOINING THE BOARD/COMMITTEE AND ANNUALLY THEREAFTER. ANY POTENTIAL CONFLICT OF INTEREST THAT MAY AFFECT A MATTER UNDER CONSIDERATION SHALL BE DISCLOSED BY THE DIRECTOR TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD AS SOON AS THE POSSIBLE CONFLICT IS DETERMINED. THE INTERESTED DIRECTOR SHALL NOT VOTE ON SUCH MATTER AND SHALL NOT ATTEMPT TO EXERT INFLUENCE IN CONNECTION WITH THE MATTER. HE OR SHE MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE ORGANIZATION MAY ONLY ENTER A TRANSACTION FOR ANY MATTER IN WHICH A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IF THE BOARD OF DIRECTORS DETERMINES IN GOOD FAITH, PRIOR TO ENTERING THE TRANSACTION, THAT: (A) THE ORGANIZATION WILL ENTER INTO THE TRANSACTION FOR ITS OWN BENEFIT; (B) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION; AND (C) AFTER REASONABLE INVESTIGATION, THE ORGANIZATION COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RESPONSIBILITY FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS DID NOT CHANGE DURING THE FISCAL YEAR.</ExplanationTxt>
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